<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "journalpublishing3.dtd">
<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink">
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">OR</journal-id>
<journal-title-group>
<journal-title>Oncology Reports</journal-title></journal-title-group>
<issn pub-type="ppub">1021-335X</issn>
<issn pub-type="epub">1791-2431</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/or.2013.2504</article-id>
<article-id pub-id-type="publisher-id">or-30-02-0763</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Active extracts of black tea <italic>(Camellia Sinensis)</italic> induce apoptosis of PC-3 prostate cancer cells via mitochondrial dysfunction</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>SUN</surname><given-names>SHILI</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>PAN</surname><given-names>SHUNSHUN</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>MIAO</surname><given-names>AIQING</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>LING</surname><given-names>CAIJIN</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>PANG</surname><given-names>SHI</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>TANG</surname><given-names>JINCHI</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>CHEN</surname><given-names>DONG</given-names></name><xref ref-type="corresp" rid="c1-or-30-02-0763"/></contrib>
<contrib contrib-type="author">
<name><surname>ZHAO</surname><given-names>CHAOYI</given-names></name><xref ref-type="corresp" rid="c1-or-30-02-0763"/></contrib>
<aff id="af1-or-30-02-0763">Drink Plant Research Institute/Tea Research Center, Guangdong Academy of Agricultural Sciences, Guangzhou, Guangdong 510640, P.R. China</aff></contrib-group>
<author-notes>
<corresp id="c1-or-30-02-0763">Correspondence to: Professor Dong Chen or Professor Chaoyi Zhao, Drink Plant Research Institute/Tea Research Center, Guangdong Academy of Agricultural Sciences, Guangzhou, Guangdong 510640, P.R. China, E-mail: <email>chendong1113@sohu.com</email>, E-mail: <email>zhaochaoyi_66@sina.com</email></corresp></author-notes>
<pub-date pub-type="ppub">
<month>8</month>
<year>2013</year></pub-date>
<pub-date pub-type="epub">
<day>28</day>
<month>05</month>
<year>2013</year></pub-date>
<volume>30</volume>
<issue>2</issue>
<fpage>763</fpage>
<lpage>772</lpage>
<history>
<date date-type="received">
<day>27</day>
<month>03</month>
<year>2013</year></date>
<date date-type="accepted">
<day>07</day>
<month>05</month>
<year>2013</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2013, Spandidos Publications</copyright-statement>
<copyright-year>2013</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0">
<license-p>This is an open-access article licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. The article may be redistributed, reproduced, and reused for non-commercial purposes, provided the original source is properly cited.</license-p></license></permissions>
<abstract>
<p>Cancer of the prostate gland is the most common invasive malignancy and the second leading cause of cancer-related death in human males. Many studies have shown that black tea reduces the risk of several types of cancer. We studied the effects of active extracts of black tea and the black tea polyphenols theaflavins (TFs), on the cellular proliferation and mitochondria of the human prostate cancer cell line PC-3. Our studies revealed that Yinghong black tea extracts (YBT), Assam black tea extracts (ABT) and TFs inhibited cell proliferation in a dose-dependent manner. We also showed that TFs, YBT and ABT affected the morphology of PC-3 cells and induced apoptosis or even necrosis in PC-3 cells. In addition, it was observed that the samples significantly caused loss of the mitochondrial membrane potential, release of cytochrome <italic>c</italic> from the intermembrane space into the cytosol, decrease of the ATP content and activation of caspase-3 compared with the control. Taken together, these findings suggest that black tea could act as an effective anti-proliferative agent in PC-3 cells, and TFs, YBT and ABT induced apoptosis of PC-3 cells through mitochondrial dysfunction.</p></abstract>
<kwd-group>
<kwd>theaflavins</kwd>
<kwd>black tea</kwd>
<kwd>PC-3 cells</kwd>
<kwd>mitochondria</kwd>
<kwd>cytochrome <italic>c</italic></kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Tea, one of the most widely consumed beverages in the world, has diverse pharmacological activities, including anti-hyperglycemia, antioxidative, anti-obesity and antitumor activities (<xref rid="b1-or-30-02-0763" ref-type="bibr">1</xref>&#x02013;<xref rid="b4-or-30-02-0763" ref-type="bibr">4</xref>). Green tea, consumed at high levels in Asian countries, and black tea, consumed primarily in Western countries, are derived from leaves of <italic>Camellia sinensis</italic>(<xref rid="b5-or-30-02-0763" ref-type="bibr">5</xref>). During the past decades, numerous <italic>in vitro</italic> and <italic>in vivo</italic> studies have showed the possible protective effects of tea and tea polyphenols on cancer and other diseases (<xref rid="b6-or-30-02-0763" ref-type="bibr">6</xref>&#x02013;<xref rid="b8-or-30-02-0763" ref-type="bibr">8</xref>). Catechins are the most abundant polyphenol in green tea, whereas the typical pigments in black tea are formed from catechin oxidation during fermentation which includes theaflavins, thearubigins and theabrownins (<xref rid="b9-or-30-02-0763" ref-type="bibr">9</xref>). Among them, the major theaflavins in black tea are theaflavin (TF1), theaflavin-3-gallate (TF2A), theaflavin-3&#x02032;-gallate (TF2B) and theaflavin-3,3&#x02032;-digallate (TF3) (<xref rid="f1-or-30-02-0763" ref-type="fig">Fig. 1</xref>). Therefore, the monomeric polyphenol content of black tea is low. However, it is not diminished for black tea during partial polymerization or other alterations in the fermentation of tea leaves (<xref rid="b10-or-30-02-0763" ref-type="bibr">10</xref>), as it was proved that TF3 showed higher antioxidative activity than EGCG (<xref rid="b11-or-30-02-0763" ref-type="bibr">11</xref>).</p>
<p>Apoptosis can occur via the mitochondria. The mitochondria is essential for energy production, and is involved in reactive oxygen species (ROS) generation and induction of apoptosis (<xref rid="b12-or-30-02-0763" ref-type="bibr">12</xref>). In most tissues, the mitochondria accounts for the generation of ~90&#x00025; of the ATP needed by the cells (<xref rid="b13-or-30-02-0763" ref-type="bibr">13</xref>). Mitochondrial dysfunction causes permeabilization of the outer mitochondrial membrane (<xref rid="b14-or-30-02-0763" ref-type="bibr">14</xref>) and then leads to the release of the intermembrane space proteins such as cytochrome <italic>c</italic>, which ultimately triggers apoptotic cell death (<xref rid="b15-or-30-02-0763" ref-type="bibr">15</xref>). Therefore, the mitochondrial permeability transition event could serve as an early indicator of the initiation of apoptosis. This mitochondrial permeability transition process results in the collapse of the electrochemical gradient across mitochondrial membrane and thus could be measured by noting the changes of the mitochondrial membrane potential (<xref rid="b14-or-30-02-0763" ref-type="bibr">14</xref>).</p>
<p>Prostate cancer is one of the leading causes of human male deaths throughout the world (<xref rid="b16-or-30-02-0763" ref-type="bibr">16</xref>). It is a group of cancerous cells (a malignant tumor) that grow mostly from the outer part of the prostate (<xref rid="b17-or-30-02-0763" ref-type="bibr">17</xref>). In our previous study, we evaluated time- and dose-dependent cytotoxicity of EGCG and Zn<sup>2&#x0002B;</sup> on PC-3 cells by the MTT assay (<xref rid="b18-or-30-02-0763" ref-type="bibr">18</xref>). Whereas, in another study, we found that EGCG, Zn<sup>2&#x0002B;</sup> and EGCG&#x0002B;Zn<sup>2&#x0002B;</sup> induced apoptosis or even necrosis of PC-3 cells through the mitochondria-mediated pathway, and free Zn<sup>2&#x0002B;</sup> enhanced the effects of EGCG on PC-3 cells due to its interactions with mitochondria (<xref rid="b19-or-30-02-0763" ref-type="bibr">19</xref>). In the present study, we investigated effects of black tea extracts on the viability and morphology of PC-3 cells, the functions of mitochondria of PC-3 cells, including mitochondrial membrane potential, cytochrome <italic>c</italic> release, ATP contents and caspase-3 activities.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Materials</title>
<p>Yinghong black tea (YBT) was obtained from Tea Research Institute, Guangdong Academy of Agricultural Sciences in China. Assam black tea (ABT) was purchased from Premier&apos;s Tea Limited in India. Theaflavins (TFs, &gt;50&#x00025; purity) were obtained from Hangzhou Easily Biotechnology Co. Ltd (Hangzhou, China). HEPES and ATP were all purchased from Sigma (St. Louis, MO, USA). Mitochondrial membrane potential assay kit with JC-1 and caspase-3 activity assay kit were purchased from Beyotime Institute of Biotechnology (Shanghai, China). EdU solution was obtained from Guangzhou RiboBio Co. Ltd. (Guangzhou, China). The cell apoptosis Annexin V-FITC detection kit was purchased from Nanjing KeyGen Biotech. Co. Ltd. (Nanjing, China). Cytochrome <italic>c</italic> pAb was purchased from Bioworld Technology (Louis Park, MN, USA). Human prostate cancer cells (PC-3) were obtained from Shanghai Institute of Cell Biology, Chinese Academy of Sciences. All other chemicals were extra-pure grade or analytical grade except those explained in the study.</p></sec>
<sec>
<title>Preparation of black tea extracts and cell culture</title>
<p>Black tea was minced and extracted three times by placing in the boiling distilled water for 10 min each time (tea/water, 1:5 w/v). These extracted solutions were combined and concentrated at 60&#x000B0;C with RE-2000 Rotary Evaporator (Yarong Biochemical Instrument, Shanghai, China). Finally, the solution was dried by lyophilization (Savant Novalyphe-NL500, USA) to obtain the aqueous extract.</p>
<p>The contents of catechin and theaflavin monomers were analyzed using a high performance liquid chromatography (HPLC) system (Shimadzu LC-2010, Kyoto, Japan). The TFs, YBT and ABT extracts were analyzed on a Diamonsil C18 column (4.6&#x000D7;250 mm, 5 &#x003BC;m particle size, Japan). The eluate was monitored at 280 nm. Mobile phase A and B were made of acetic acid/acetonitrile/water (A: 0.5:3:96.5 and B: 0.5:30:69.5, by volume). The flow rate was set at 1 ml/min and 10 &#x003BC;l sample was injected into the column. The elution was performed using a linear gradient from solvent A to solvent B in 45 min followed by an isocratic step of solvent B for 15 min. The column temperature was set to 28&#x000B0;C. Peaks were identified in comparison with the retention time of authentic standards.</p>
<p>PC-3 cells were cultured in F-12 medium (Gibco, Invitrogen Corp., Carlsbad, CA, USA) supplemented with 10&#x00025; fetal bovine serum (FBS) and 100 U/ml penicillin-streptomycin. The cells were cultured in a 5&#x00025; CO<sub>2</sub> humidified atmosphere at 37&#x000B0;C.</p></sec>
<sec>
<title>MTT and EdU assays</title>
<p>PC-3 cells were seeded on 96-well plates for 24 h and then incubated with 0.4, 0.8, 1.2, 1.6, 2.0 mg/ml TFs, YBT and ABT for 12, 24 and 36 h, respectively. Thereafter, 20 &#x003BC;l of 5 mg/ml MTT was added to each well from a stock solution and cultured for another 4 h. Finally, the reaction was stopped by addition of 150 &#x003BC;l of dimethyl sulfoxide (DMSO). The absorbance in each well was measured with the microplate reader (Thermal Labsystem, Helsinki, Finland) at 490 nm.</p>
<p>The proliferation of PC-3 cells was estimated using the EdU incorporation assay. Briefly, the PC-3 cells (1&#x000D7;10<sup>5</sup>) were exposed to 0.4 mg/ml YBT, ABT and TFs for 24 h, respectively. The cells were cultured in 24-well plates and exposed to 50 &#x003BC;mol/l EdU for 2 h at 37&#x000B0;C. The cells were then fixed in 4&#x00025; formaldehyde for 30 min at room temperature and permeabilized in 0.5&#x00025; TritonX-100 for 10 min. Cells were washed with PBS, and each well was incubated with 100 &#x003BC;l 1X Apollo<sup>&#x000AE;</sup> reaction cocktail for 30 min. DNA was then stained with 100 &#x003BC;l 1X Hoechst 33342 for 30 min and imaged under a fluorescent microscope.</p></sec>
<sec>
<title>Morphological changes of adhesive PC-3 cells</title>
<p>PC-3 cells were cultured in 6-wells plates (20&#x000D7;20 mm) and then exposed to 0.4 mg/ml YBT, ABT and TFs for 24 h. After exposure, the images of adhesive PC-3 cells were made through the inverted microscope at 10&#x000D7;10 magnifications (XDS-1B, Chongqing, China). The number of cells adhering on the plate and the changes of cell morphology indicated the cytotoxicity of YBT, ABT and TFs on PC-3 cells.</p></sec>
<sec>
<title>Apoptosis of PC-3 cells</title>
<p>The apoptosis of PC-3 cells was measured by flow cytometry. PC-3 cells were treated with 0.4 mg/ml YBT, ABT and TFs for 24 h, and then cell apoptosis was analyzed by Annexin V-FITC apoptosis detection kit following the manufacturer&apos;s instructions. Briefly, PC-3 cells were gently trypsinized, washed twice with PBS, suspended in binding buffer (1&#x000D7;10<sup>6</sup> cells/ml). Then, 0.5 ml suspension with 1.25 &#x003BC;l Annexin V-FITC and 10 &#x003BC;l PI was incubated at room temperature in the dark for 15 min, and analyzed immediately by flow cytometer (Becton Dickinson Immunocytometry System, San Jose, CA, USA).</p></sec>
<sec>
<title>Isolation and purification of mitochondria</title>
<p>The lowest effective concentration for suppressing PC-3 cells measured by the MTT assay was 0.4 mg/ml in our previous study (unpublished data). Therefore, in the present study, YBT, ABT and TFs were prepared at equal concentrations (0.4 mg/ml) to investigate the bioactivity of black tea. The PC-3 cells were seeded on 50-cm<sup>2</sup> plates at a density of 6&#x000D7;10<sup>5</sup> cells/ml and allowed to grow for 24 h. After treatment with 0.4 mg/ml YBT, ABT and TFs for 24 h, the cells were harvested by centrifugation at 1,500 rpm for 5 min at 4&#x000B0;C, and washed twice with cold PBS and finally re-suspended in the cold PBS. These cells were lysed by Ultrasonic Cell Disruption System (JY92-II, Chongqing, China) and centrifuged at 3,000 rpm for 10 min at 4&#x000B0;C. The supernatant was centrifuged at 9,000 rpm for 10 min to obtain mitochondrial pellets that were then washed twice with cold PBS. The final mitochondrial pellets were re-suspended in the test medium (220 mmol/l Mannitol, 70 mmol/l Sucrose, 5 mmol/l HEPES, pH 7.2) for studies. The final protein concentrations of the mitochondrial suspension were adjusted to 0.3 mg/ml.</p></sec>
<sec>
<title>Determination of mitochondrial membrane potential</title>
<p>PC-3 cells were cultured in 6-well plates (20&#x000D7;20 mm) and then exposed to 0.4 mg/ml YBT, ABT and TFs for 24 h. The mitochondrial membrane potential (&#x00394;&#x003A8;m) was estimated using 5,5&#x02032;,6,6&#x02032;-tetrachloro-1,1&#x02032;,3,3&#x02032;-tetraethylbenzimidazole-carbocyanide iodide (JC-1, Molecular Probes) (<xref rid="b20-or-30-02-0763" ref-type="bibr">20</xref>).</p></sec>
<sec>
<title>Analysis of cytochrome c release</title>
<p>PC-3 cells were cultured and exposed to 0.4 mg/ml YBT, ABT and TFs for 24 h, then isolated mitochondria. Contents of the cytochrome <italic>c</italic> were measured by western blotting (<xref rid="b21-or-30-02-0763" ref-type="bibr">21</xref>). The experiments were repeated at least three times.</p></sec>
<sec>
<title>Assay of cellular ATP contents</title>
<p>The 0.4 mg/ml YBT, ABT and TFs-treated PC-3 cells were washed twice with cold PBS and homogenized with 600 &#x003BC;l cold PBS and 80 &#x003BC;l 0.4 &#x003BC;mol/l perchloric acid by mechanical homogenization at the high speed for 10 min. These samples were adjusted to pH 6.0 with 0.2 &#x003BC;mol/l K<sub>2</sub>CO<sub>3</sub> and centrifuged at 12,000 rpm for 10 min. The supernatant was filtered through the Millipore filter with 0.45-&#x003BC;m pore diameter and then injected into HPLC system (LC-2010A, Shimadzu). The samples were analyzed on a C<sub>18</sub> column (200&#x000D7;4.6 mm i.d., particle size 5 &#x003BC;m), where the mobile phase (pH 6.0) was methanol/potassium dihydrogen phosphate/potassium hydrogen phosphate (5: 47.5: 47.5). The flow rate was 1.0 ml/min, the effluent was monitored at 280 nm, and the sample injection volume was 20 &#x003BC;l. All instruments and the columns were operated at room temperature (23&#x02013;25&#x000B0;C). All the experiments were repeated at least three times.</p></sec>
<sec>
<title>Determination of caspase-3 activity</title>
<p>PC-3 cells were cultured and exposed to 0.4 mg/ml YBT, ABT and TFs for 12, 24 and 36 h. The cells were harvested and carried out according to caspase-3 activity assay kit instructions. The assay was based on spectrophotometric detection of the chromophore <italic>p</italic>-nitroaniline (<italic>p</italic>NA) after its cleavage by caspase-3 from the labeled substrate, Ac-DEVD-<italic>p</italic>NA. Briefly, cell lysates were prepared after their respective treatment. Assays were performed on 96-well plates by incubating 50 &#x003BC;l protein of cell lysate per sample in the 50 &#x003BC;l reaction buffer containing 5 &#x003BC;l caspase-3 substrate (Ac-DEVD-<italic>p</italic>NA). Lysates were incubated at 37&#x000B0;C for 4 h. Samples were measured with an ELISA reader (Thermal Labsystem) at an absorbance of 405 nm.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>Results were expressed as the means &#x000B1; SD of at least three independent replications of each experiment. Statistical significance was determined by pair t-test analysis using Origin 7.5 software for Windows.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Catechin and theaflavin monomers contents</title>
<p>Catechin and theaflavin monomer contents of TFs, YBT and ABT extracts were analyzed by HPLC. As shown in <xref rid="tI-or-30-02-0763" ref-type="table">Table I</xref>, four kinds of theaflavin monomer contents of TFs were high in comparison with YBT and ABT, respectively. The active ingredients in black tea are theaflavins, thearubigins and theabrownins. The activity of TF3 theaflavin monomer is even more than that of EGCG. TF1, TF2 and TF3 content in three samples is in order of the TFs &gt; ABT &gt; YBT. The theaflavin monomer TF3 content was 193.34, 8.20, 3.23 mg/g in TFs, ABT and YBT, respectively.</p></sec>
<sec>
<title>Cell viability of PC-3 cells</title>
<p>The PC-3 cells were exposed to 0.4&#x02013;2.0 mg/ml YBT, ABT and TFs for 12, 24 and 36 h, respectively. The MTT assay demonstrated that all the treatment caused suppression of the growth of PC-3 cells. As shown in <xref rid="f2-or-30-02-0763" ref-type="fig">Fig. 2</xref>, after the treatment, the cell viability of PC-3 cells decreased (untreated cells &#x0003D; 100&#x00025;) in a dose-dependent manner and resulted in a maximum loss when the concentration is 2.0 mg/ml. At 12, 24 or 36 h, the decrease of the cell viability of PC-3 cells exposed to TFs was more significant than the other two black tea extracts. In addition, the decrease of the cell viability exposed to ABT was more significant than that exposed to YBT. These results suggested that TFs and black tea extracts could significantly inhibit the growth of PC-3 cells.</p></sec>
<sec>
<title>Proliferation of PC-3 cells</title>
<p>The proliferation of PC-3 cells was estimated using the EdU incorporation assay. The PC-3 cells (1&#x000D7;10<sup>5</sup>) were exposed to 0.4 mg/ml YBT, ABT and TFs for 24 h. EdU incorporation assay showed that YBT, ABT and TFs treatment significantly inhibited PC-3 cell proliferation when compared to that of the control group.</p></sec>
<sec>
<title>Morphological changes of PC-3 cells</title>
<p>Effects of TFs, YBT and ABT on PC-3 cells were observed through the inverted microscope. The number of PC-3 cells adhering on plate decreased after exposed to 0.4 mg/ml TFs, YBT and ABT (<xref rid="f3-or-30-02-0763" ref-type="fig">Fig. 3</xref>) respectively, and the number of PC-3 cells adhering on the plates decreased according to the sequence of the control &gt; YBT &gt; ABT &gt; TFs. Moreover, these three treatment made PC-3 cells become round, globular cells and larger than control cells.</p></sec>
<sec>
<title>Apoptotic and necrotic cells</title>
<p>Apoptosis of the PC-3 cells treated with TFs, YBT or ABT, respectively, was examined using flow cytometry. As shown in <xref rid="f4-or-30-02-0763" ref-type="fig">Fig. 4</xref>, 0.4 mg/ml TFs, 0.4 mg/ml YBT and 0.4 mg/ml ABT induced apoptosis of PC-3 cells, respectively, when compared with that of the control group.</p></sec>
<sec>
<title>Loss of mitochondrial membrane potential</title>
<p>JC-1 is a fluorescent compound (excitation maximum, 490 nm) that exists as a monomer at low concentrations. At higher concentrations, JC-1 forms aggregates. Fluorescence of the monomer is green (emission, 527 nm), whereas that of the J aggregate is red (emission, 590 nm). Mitochondria with intact membrane potential (&gt;100 mV) concentrate JC-1 into aggregates that fluoresce red, whereas de-energized mitochondria cannot concentrate JC-1 and fluoresce green. JC-1 staining is widely used to measure mitochondrial membrane potential (&#x00394;&#x003A8;m). The change from red florescence to green represents the decrease of mitochondrial membrane potential. TFs, YBT and ABT caused a significant loss of mitochondrial membrane potential, as shown in <xref rid="f5-or-30-02-0763" ref-type="fig">Fig. 5</xref>.</p></sec>
<sec>
<title>Concentration of mitochondrial cytochrome c</title>
<p>The cytochrome <italic>c</italic> from the intermembrane space into the cytosol was investigated. Western blot results (<xref rid="f6-or-30-02-0763" ref-type="fig">Fig. 6</xref>) showed that concentrations of the cytochrome <italic>c</italic> in mitochondria of PC-3 cells treated with TFs, YBT or ABT were all significantly decreased (TFs &gt; YBT &gt; ABT), which suggested that the cytochrome <italic>c</italic> was released from mitochondria into the cell cytosol.</p></sec>
<sec>
<title>ATP contents in PC-3 cells</title>
<p>In aerobic organisms, the mitochondria is the main source of energy and site of the tricarboxylic acid (TCA) cycle, a metabolic network is involved in the generation of reducing factors that power the production of ATP (<xref rid="b22-or-30-02-0763" ref-type="bibr">22</xref>). In the present study, it was noted that TFs, YBT and ABT inhibited ATP synthesis (<xref rid="f7-or-30-02-0763" ref-type="fig">Fig. 7</xref>), and in particular ATP contents of PC-3 cells treated with TFs was significantly different from the control. The ATP contents in ABT-treated PC-3 cells were lower than that exposed to YBT and higher than that exposed to TFs. These results suggested that TFs, YBT and ABT could induce damage of mitochondria in PC-3 cells.</p></sec>
<sec>
<title>Effects of caspase-3 activities</title>
<p>Caspase-3 has been shown to play a pivotal role in the execution phase of apoptosis induced by diverse stimuli. In this study, we analyzed its activation in PC-3 cells treated by TFs, YBT or ABT for 12, 24 and 36 h. As shown in <xref rid="f8-or-30-02-0763" ref-type="fig">Fig. 8</xref>, treatment with TFs, YBT and ABT significantly increased activities of caspase-3 in a time-dependent manner, and the effects of treatment were TFs &gt; ABT &gt; YBT. These results indicated that treatment with 0.4 mg/ml TFs, YBT or ABT stimulated the caspase-3 activities.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Prostate cancer is one of the leading causes of human male death throughout the world. As estimated, more than 200,000 new cases of prostate cancer are detected in the United States in 2005, and ~30,000 men die each year from this disease (<xref rid="b23-or-30-02-0763" ref-type="bibr">23</xref>). Prostate cancer is the most common type of cancer except skin cancer, diagnosed in American men (<xref rid="b24-or-30-02-0763" ref-type="bibr">24</xref>). However, prostate disease is difficult to cure. The prostate gland has a nonporous capillary bed. In order to traverse the capillary endothelium, an antibiotic must pass through the endothelial cell membranes rather than the pores which are found in capillary beds elsewhere in the body. To reach the prostatic secretions, the drug must traverse the additional lipid barrier of the prostatic epithelium. However, drugs which are poorly lipid-soluble, such as penicillins, cephalosporins and aminoglycosides, traverse the capillary wall very slowly (<xref rid="b25-or-30-02-0763" ref-type="bibr">25</xref>).</p>
<p>Our previous studies indicated that EGCG could satisfactorily exhibit complex chemistry with metal ions, and this chelation between EGCG and metal ions changed their bioactivities and metabolisms, which suggested that EGCG could prevent or cure prostate cancer, and Zn<sup>2&#x0002B;</sup> and Cd<sup>2&#x0002B;</sup> could enhance the inhibitory effect of EGCG against PC-3 cells (<xref rid="b26-or-30-02-0763" ref-type="bibr">26</xref>,<xref rid="b27-or-30-02-0763" ref-type="bibr">27</xref>). In another study, we demonstrated that Zn<sup>2&#x0002B;</sup> enhanced the action of EGCG on PC-3 cells, zinc-EGCG complex was highly unlikely to be formed in the presence of Zn<sup>2&#x0002B;</sup> and EGCG and our results also showed the potentiating action of Zn<sup>2&#x0002B;</sup> on the growth inhibitory property of EGCG in PC-3 cells (<xref rid="b18-or-30-02-0763" ref-type="bibr">18</xref>). In addition, we showed that EGCG induced apoptosis or even necrosis of PC-3 cells through the mitochondria-mediated pathway, and free Zn<sup>2&#x0002B;</sup> enhanced effects of EGCG on PC-3 cells due to its interaction with mitochondria (<xref rid="b19-or-30-02-0763" ref-type="bibr">19</xref>). However, studies elucidating the mechanisms involved in prostate cancer prevention by black tea are scarce in comparison with green tea. Therefore, in the present study, we report mechanism-based efficacy studies on black tea extracts in PC-3 cells.</p>
<p>Polyphenols present in food have been demonstrated to decrease various types of experimental carcinogenesis (<xref rid="b28-or-30-02-0763" ref-type="bibr">28</xref>,<xref rid="b29-or-30-02-0763" ref-type="bibr">29</xref>). In recent years, identification of effective chemopreventive polyphenols in diets or dietary supplements for human use is of great interest. Treatment with such polyphenols can result in cell cycle arrest (<xref rid="b30-or-30-02-0763" ref-type="bibr">30</xref>), and therefore reduce the growth and proliferation through apoptosis or even necrosis, but only in cancerous, not in normal cells (<xref rid="b31-or-30-02-0763" ref-type="bibr">31</xref>,<xref rid="b32-or-30-02-0763" ref-type="bibr">32</xref>). In addition, tea polyphenols exert their potent anticancer activity and appear to be the ideal agents for chemoprevention. For the manufacture of black tea, the fermentation process causes green tea polyphenols to oxidise and form oligomeric flavanols, including theaflavins, thearubigin and other oligomers. Theaflavins, a mixture of TF1, TF2A, TF2B and TF3, are the most abundant phenolic fraction of black tea and their structures are not well characterized. Black tea is assumed to be less beneficial compared with green tea. However, studies have demonstrated that black tea could be as effective as green tea in cancer chemoprevention (<xref rid="b10-or-30-02-0763" ref-type="bibr">10</xref>,<xref rid="b33-or-30-02-0763" ref-type="bibr">33</xref>,<xref rid="b34-or-30-02-0763" ref-type="bibr">34</xref>).</p>
<p>Among black tea components, theaflavins are generally considered to be the more effective components for the inhibition of carcinogenesis and account for 3&#x02013;6&#x00025; of dry weight of black tea (<xref rid="b35-or-30-02-0763" ref-type="bibr">35</xref>). Black tea has also shown potent inhibition in animal systems, including the lung (<xref rid="b36-or-30-02-0763" ref-type="bibr">36</xref>), colon (<xref rid="b37-or-30-02-0763" ref-type="bibr">37</xref>) and skin (<xref rid="b38-or-30-02-0763" ref-type="bibr">38</xref>). Other studies also provide evidence that black tea can significantly inhibit proliferation and enhance apoptosis in the established mouse skin tumor (<xref rid="b39-or-30-02-0763" ref-type="bibr">39</xref>). Black tea polyphenols, especially TFs exert cancer chemopreventive activities by inducing apoptotic signals (<xref rid="b39-or-30-02-0763" ref-type="bibr">39</xref>,<xref rid="b40-or-30-02-0763" ref-type="bibr">40</xref>). In addition, lots of studies have showed that the black tea and its polyphenol theaflavin could induce apoptosis in tumor cells, and such effect was not evident in normal healthy cells (<xref rid="b41-or-30-02-0763" ref-type="bibr">41</xref>). This was possibly due to the difference in genetic programming in normal and tumor cells (<xref rid="b42-or-30-02-0763" ref-type="bibr">42</xref>).</p>
<p>In the present study, we found that TFs, YBT and ABT all significantly suppressed the viability of PC-3 cells, made PC-3 cells become round, globular cells and bigger than control cells, induced apoptosis of PC-3 cells and even caused necrosis of PC-3 cells. One of the possibilities for why low cell viability at 2 mg/ml for 12 h was seen is that at the concentration of 2 mg/ml, the extracts cannot 100&#x00025; inhibit cell proliferation and growth, the surviving cell proliferation might contribute to the higher cell viability at 24&#x02013;36 h. The tea polyphenols or theaflavins <italic>in vitro</italic> have shown some activities against prostate cancer (<xref rid="b18-or-30-02-0763" ref-type="bibr">18</xref>,<xref rid="b19-or-30-02-0763" ref-type="bibr">19</xref>,<xref rid="b43-or-30-02-0763" ref-type="bibr">43</xref>), and the polyphenol or theaflavin concentrations in our body is much lower than the micromole level (<xref rid="b44-or-30-02-0763" ref-type="bibr">44</xref>,<xref rid="b45-or-30-02-0763" ref-type="bibr">45</xref>). Therefore, drinking tea can probably prevent the occurrence of prostate cancer, but has almost no effect on curing the patient of prostate cancer.</p>
<p>Similar to green tea polyphenols, black tea and its major polyphenol has antioxidant (<xref rid="b5-or-30-02-0763" ref-type="bibr">5</xref>,<xref rid="b46-or-30-02-0763" ref-type="bibr">46</xref>) and pro-oxidant dual activities (<xref rid="b47-or-30-02-0763" ref-type="bibr">47</xref>). TFs, the characteristic compositions in black tea, are formed via the co-oxidation of pairs of epimerized catechins, one with a vic-trihydroxyphenyl moiety, and the other with an ortho-dihydroxyphenyl structure. Different from epimerized catechins, four main TF derivatives reserve two A-rings, two C-rings from their precursors, and possess a characteristic element of the fused seven-member benzotropolone ring (<xref rid="f1-or-30-02-0763" ref-type="fig">Fig. 1</xref>). It has been suggested that the existence of resonance formed in the benzotropolone moiety might be responsible for electron donation (<xref rid="b46-or-30-02-0763" ref-type="bibr">46</xref>). Jhoo <italic>et al</italic> suggested that the benzotropolone moiety of TFs might play an important role in affording antioxidant protection for the preferred oxidation site in the oxidant models of 2,2-diphenyl-1-picrylhydrazyl and H<sub>2</sub>O<sub>2</sub>(<xref rid="b48-or-30-02-0763" ref-type="bibr">48</xref>). However, theaflavins also exert pro-oxidant behavior (<xref rid="b49-or-30-02-0763" ref-type="bibr">49</xref>). Sakagami <italic>et al</italic> suggested that the antioxidant activity of tea polyphenolics is the driving force to inhibit carcinogenesis, while the pro-oxidant activity accounts for their selective cytotoxicity, growth inhibitory and apoptosis-inducing activity towards tumor cells (<xref rid="b50-or-30-02-0763" ref-type="bibr">50</xref>). In addition, Weisburg <italic>et al</italic> has shown that green tea catechins generate ROS in the cell culture medium and increase the intracellular production of ROS (<xref rid="b51-or-30-02-0763" ref-type="bibr">51</xref>), which may induce loss of the mitochondrial membrane potential leading to release of apoptotic factors (<xref rid="b52-or-30-02-0763" ref-type="bibr">52</xref>,<xref rid="b53-or-30-02-0763" ref-type="bibr">53</xref>).</p>
<p>Mitochondria plays an important role in cellular energy metabolism, free radical generation and apoptosis (<xref rid="b54-or-30-02-0763" ref-type="bibr">54</xref>). Several mDNA-encoded pro-apoptotic proteins including cytochrome <italic>c</italic>, apoptosis inducing factor (AIF), endonuclease G, and smac/DIABLO normally reside in the mitochondria. Release of these factors from mitochondria triggers a series of biochemical events leading to activation of apoptotic signaling cascades (<xref rid="b55-or-30-02-0763" ref-type="bibr">55</xref>).</p>
<p>It is evident from the results of the present study that treatment with TFs, YBT and ABT could induce apoptosis of PC-3 cells through mitochondrial dysfunctioning. This is supported by the observations that exposure of PC-3 cells to TFs, YBT or ABT induced: i) release of cytochrome <italic>c</italic> from mitochondria and loss of mitochondrial membrane potential that plays a critical role in mitochondria-dependent apoptosis pathway; and ii) a decrease in ATP contents and activation of caspase-3 that plays a pivotal role in the execution phase of apoptosis induced by diverse stimuli. These results suggest that mitochondrial dysfunction by TFs, YBT and ABT could be responsible for apoptosis of PC-3 cells, and the effects were TFs &gt; extracts of black tea.</p>
<p>In mitochondria, permeability transition pore (PTP) opening causes mitochondrial swelling and loss of the mitochondrial membrane potential. As the matrix expands, the inner membrane keeps the membrane intact, but the outer membrane becomes ruptured. This leads to release of apoptotic factors such as cytochrome <italic>c</italic>, from the intermembrane space into the cytosol. The released cytochrome <italic>c</italic> complexes with Apaf-1 in the presence of dATP and ultimately cleave pro-caspase-3 to form active caspase-3. Activation of caspase-3 is an important step in the execution phase of apoptosis and its inhibition blocks cell apoptosis (<xref rid="b56-or-30-02-0763" ref-type="bibr">56</xref>,<xref rid="b57-or-30-02-0763" ref-type="bibr">57</xref>).</p>
<p>In addition, due to PTP opening, the inner membrane becomes permeable to protons which can lead to uncoupling oxidative phosphorylation. The F1F0-ATPase reverses and hydrolyzes ATP to maintain the mitochondrial membrane potential resulting in a decrease of intracellular ATP concentration. This can lead to the dysfunction of ATP-dependent processes such as disruption of ionic homeostasis, and activation of calcium-dependent degradative enzymes such as phospholipase, nucleases and proteases (<xref rid="b58-or-30-02-0763" ref-type="bibr">58</xref>&#x02013;<xref rid="b60-or-30-02-0763" ref-type="bibr">60</xref>). It has been shown that a decrease in intracellular ATP level imposed apoptosis. Along with other evidence in our study, we hypothesized that the decrease of ATP after treatment might contribute to apoptosis (<xref rid="b61-or-30-02-0763" ref-type="bibr">61</xref>). In TFs group, changes of ATP contents are proportional to the release of cytochrome <italic>c</italic> or activity of caspase-3. In the YBT and ABT treatment groups, although it seems that the ATP contents are not proportional to the release of cytochrome <italic>c</italic> or activity of caspase-3, there was no statistical difference.</p>
<p>The human prostate cancer cell lines include androgen-dependent LNCaP and androgen-independent PC-3 and DU145 cells. Kalra <italic>et al</italic>(<xref rid="b62-or-30-02-0763" ref-type="bibr">62</xref>) reported that black tea polyphenol, theaflavin-induced apoptosis in human prostate carcinoma, LNCaP cells was mediated via modulation of two related pathways: upregulation of p53 and downregulation of NF-&#x003BA;B activity, causing a change in the ratio of pro- and anti-apoptotic proteins leading to apoptosis. The altered expression of Bcl-2 family member proteins triggered the release of cytochrome <italic>c</italic> and activation of initiator capsase-9 followed by activation of effector caspase-3. Furthermore, TFs also affected the protein expression of mitogen activated protein kinases (MAPK) pathways. Their results demonstrated that TF treatment resulted in downregulation of phospho-extracellular signal-regulated protein kinase (Erk1/2) and phospho-p38 MAPK expressions. Therefore, they concluded that TFs induce apoptosis in LNCaP cells through shifting the balance between pro- and anti-apoptotic proteins and downregulation of cell survival pathways leading to apoptosis. They also showed that TFs induced apoptosis in the androgen-independent prostate cancer cell line PC-3 through caspases and MAPK-mediated pathways. Thus, effect of TFs on prostate cancer cell lines seems to be irrespective of their androgen status (<xref rid="b62-or-30-02-0763" ref-type="bibr">62</xref>). Lee <italic>et al</italic> found that TF3 significantly reduced androgen-responsive LNCaP prostate cancer cell growth, suppressed expression of the androgen receptors and lowered androgen-induced prostate-specific antigen secretion and fatty acid synthase protein level (<xref rid="b63-or-30-02-0763" ref-type="bibr">63</xref>). In this study, our findings suggest that black tea and TFs could act as an effective anti-proliferative agent in androgen-independent PC-3 cells.</p>
<p>Recently, Tachibana <italic>et al</italic> have reported that EGCG inhibited cell growth by inducing the myosin II regulatory light chain (MRLC) phosphorylation (<xref rid="b64-or-30-02-0763" ref-type="bibr">64</xref>). It is likely that EGCG could disrupt the contractile ring by decreasing the MRLC phosphorylation resulting in the inhibition of cell proliferation (<xref rid="b65-or-30-02-0763" ref-type="bibr">65</xref>,<xref rid="b66-or-30-02-0763" ref-type="bibr">66</xref>). In addition, EGCG decreased MRLC phosphorylation by binding to 67LR (a cell surface receptor) (<xref rid="b64-or-30-02-0763" ref-type="bibr">64</xref>). Therefore, further studies are needed to identify whether the inhibitory effects of black tea extracts, especially TFs are exerted by their binding to 67LR.</p>
<p>In conclusion, our results suggest that TFs, YBT and ABT could inhibit the growth and change the morphology of prostate cancer cells. Additionally, TFs, YBT and ABT induced apoptosis or even necrosis of PC-3 cells through mitochondrial dysfunctioning.</p></sec></body>
<back>
<ack>
<title>Acknowledgements</title>
<p>This study was supported by President Foundation of Guangdong Academy of Agricultural Sciences (no. 201018), Guangdong Provincial Key Laboratory of Tea Plant Resources Innovation and Utilization (no. 2008A060301004), Guangdong Provincial Science and Technology Foundation (no. 2011B031500002 and no. 2012B091100165) and Tea Industry Technology System of China (no. CARS-23).</p></ack>
<ref-list>
<title>References</title>
<ref id="b1-or-30-02-0763"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ankolekar</surname><given-names>C</given-names></name><name><surname>Terry</surname><given-names>T</given-names></name><name><surname>Johnson</surname><given-names>K</given-names></name><etal/></person-group><article-title>Anti-hyperglycemia properties of tea <italic>(Camellia sinensis)</italic> bioactives using in vitro assay models and influence of extraction time</article-title><source>J Med Food</source><volume>14</volume><fpage>1190</fpage><lpage>1197</lpage><year>2011</year></element-citation></ref>
<ref id="b2-or-30-02-0763"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Elbling</surname><given-names>L</given-names></name><name><surname>Herbacek</surname><given-names>I</given-names></name><name><surname>Weiss</surname><given-names>RM</given-names></name><etal/></person-group><article-title>Hydrogen peroxide mediates EGCG-induced antioxidant protection in human keratinocytes</article-title><source>Free Radic Biol Med</source><volume>49</volume><fpage>1444</fpage><lpage>1452</lpage><year>2010</year></element-citation></ref>
<ref id="b3-or-30-02-0763"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rains</surname><given-names>TM</given-names></name><name><surname>Agarwal</surname><given-names>S</given-names></name><name><surname>Maki</surname><given-names>KC</given-names></name></person-group><article-title>Antiobesity effects of green tea catechins: a mechanistic review</article-title><source>J Nutr Biochem</source><volume>22</volume><fpage>1</fpage><lpage>7</lpage><year>2011</year></element-citation></ref>
<ref id="b4-or-30-02-0763"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tran</surname><given-names>PL</given-names></name><name><surname>Kim</surname><given-names>SA</given-names></name><name><surname>Choi</surname><given-names>HS</given-names></name><name><surname>Yoon</surname><given-names>JH</given-names></name><name><surname>Ahn</surname><given-names>SG</given-names></name></person-group><article-title>Epigallocatechin-3-gallate suppresses the expression of HSP70 and HSP90 and exhibits anti-tumor activity in vitro and in vivo</article-title><source>BMC Cancer</source><volume>10</volume><fpage>276</fpage><year>2010</year></element-citation></ref>
<ref id="b5-or-30-02-0763"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yang</surname><given-names>Z</given-names></name><name><surname>Jie</surname><given-names>G</given-names></name><name><surname>Dong</surname><given-names>F</given-names></name><etal/></person-group><article-title>Radical-scavenging abilities and antioxidant properties of theaflavins and their gallate esters in H<sub>2</sub>O<sub>2</sub>-mediated oxidative damage system in the HPF-1 cells</article-title><source>Toxicol In Vitro</source><volume>22</volume><fpage>1250</fpage><lpage>1256</lpage><year>2008</year></element-citation></ref>
<ref id="b6-or-30-02-0763"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bushman</surname><given-names>JL</given-names></name></person-group><article-title>Green tea and cancer in humans: a review of the literature</article-title><source>Nutr Cancer</source><volume>31</volume><fpage>151</fpage><lpage>159</lpage><year>1998</year></element-citation></ref>
<ref id="b7-or-30-02-0763"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Roy</surname><given-names>P</given-names></name><name><surname>George</surname><given-names>J</given-names></name><name><surname>Srivastava</surname><given-names>S</given-names></name><name><surname>Tyagi</surname><given-names>S</given-names></name><name><surname>Shukla</surname><given-names>Y</given-names></name></person-group><article-title>Inhibitory effects of tea polyphenols by targeting cyclooxygenase-2 through regulation of nuclear factor kappa B, Akt and p53 in rat mammary tumors</article-title><source>Invest New Drugs</source><volume>29</volume><fpage>225</fpage><lpage>231</lpage><year>2011</year></element-citation></ref>
<ref id="b8-or-30-02-0763"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Uchiyama</surname><given-names>S</given-names></name><name><surname>Taniguchi</surname><given-names>Y</given-names></name><name><surname>Saka</surname><given-names>A</given-names></name><name><surname>Yoshida</surname><given-names>A</given-names></name><name><surname>Yajima</surname><given-names>H</given-names></name></person-group><article-title>Prevention of diet-induced obesity by dietary black tea polyphenols extract in vitro and in vivo</article-title><source>Nutrition</source><volume>27</volume><fpage>287</fpage><lpage>292</lpage><year>2011</year></element-citation></ref>
<ref id="b9-or-30-02-0763"><label>9</label><element-citation publication-type="book"><person-group person-group-type="author"><name><surname>Wan</surname><given-names>XC</given-names></name></person-group><source>Tea Biochemistry</source><publisher-name>China Agriculture Press</publisher-name><publisher-loc>Beijing</publisher-loc><year>2003</year><comment>(In Chinese)</comment></element-citation></ref>
<ref id="b10-or-30-02-0763"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Halder</surname><given-names>J</given-names></name><name><surname>Bhaduri</surname><given-names>AN</given-names></name></person-group><article-title>Protective role of black tea against oxidative damage of human red blood cells</article-title><source>Biochem Biophys Res Commun</source><volume>244</volume><fpage>903</fpage><lpage>907</lpage><year>1998</year></element-citation></ref>
<ref id="b11-or-30-02-0763"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Leung</surname><given-names>LK</given-names></name><name><surname>Su</surname><given-names>Y</given-names></name><name><surname>Chen</surname><given-names>R</given-names></name><etal/></person-group><article-title>Theaflavins in black tea and catechins in green tea are equally effective antioxidants</article-title><source>J Nutr</source><volume>131</volume><fpage>2248</fpage><lpage>2251</lpage><year>2001</year></element-citation></ref>
<ref id="b12-or-30-02-0763"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ye</surname><given-names>XQ</given-names></name><name><surname>Li</surname><given-names>Q</given-names></name><name><surname>Wang</surname><given-names>GH</given-names></name><etal/></person-group><article-title>Mitochondrial and energy metabolism-related properties as novel indicators of lung cancer stem cells</article-title><source>Int J Cancer</source><volume>129</volume><fpage>820</fpage><lpage>831</lpage><year>2011</year></element-citation></ref>
<ref id="b13-or-30-02-0763"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gomez-Zaera</surname><given-names>M</given-names></name><name><surname>Abril</surname><given-names>J</given-names></name><name><surname>Gonzalez</surname><given-names>L</given-names></name><etal/></person-group><article-title>Identification of somatic and germline mitochondrial DNA sequence variants in prostate cancer patients</article-title><source>Mutat Res</source><volume>595</volume><fpage>42</fpage><lpage>51</lpage><year>2006</year></element-citation></ref>
<ref id="b14-or-30-02-0763"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Salido</surname><given-names>M</given-names></name><name><surname>Gonzalez</surname><given-names>JL</given-names></name><name><surname>Vilches</surname><given-names>J</given-names></name></person-group><article-title>Loss of mitochondrial membrane potential is inhibited by bombesin in etoposide-induced apoptosis in PC-3 prostate carcinoma cells</article-title><source>Mol Cancer Ther</source><volume>6</volume><fpage>1292</fpage><lpage>1299</lpage><year>2007</year></element-citation></ref>
<ref id="b15-or-30-02-0763"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Qi</surname><given-names>X</given-names></name><name><surname>Cai</surname><given-names>Y</given-names></name><name><surname>Gong</surname><given-names>L</given-names></name><etal/></person-group><article-title>Role of mitochondrial permeability transition in human renal tubular epithelial cell death induced by aristolochic acid</article-title><source>Toxicol Appl Pharmacol</source><volume>222</volume><fpage>105</fpage><lpage>110</lpage><year>2007</year></element-citation></ref>
<ref id="b16-or-30-02-0763"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Saad</surname><given-names>F</given-names></name><name><surname>Schulman</surname><given-names>CC</given-names></name></person-group><article-title>Role of bisphosphonates in prostate cancer</article-title><source>Eur Urol</source><volume>45</volume><fpage>26</fpage><lpage>34</lpage><year>2004</year></element-citation></ref>
<ref id="b17-or-30-02-0763"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Taplin</surname><given-names>ME</given-names></name><name><surname>Balk</surname><given-names>SP</given-names></name></person-group><article-title>Androgen receptor: a key molecule in the progression of prostate cancer to hormone independence</article-title><source>J Cell Biochem</source><volume>91</volume><fpage>483</fpage><lpage>490</lpage><year>2004</year></element-citation></ref>
<ref id="b18-or-30-02-0763"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sun</surname><given-names>SL</given-names></name><name><surname>He</surname><given-names>GQ</given-names></name><name><surname>Yu</surname><given-names>HN</given-names></name><etal/></person-group><article-title>Free Zn<sup>2&#x0002B;</sup> enhances inhibitory effects of EGCG on the growth of PC-3 cells</article-title><source>Mol Nutr Food Res</source><volume>52</volume><fpage>465</fpage><lpage>471</lpage><year>2008</year></element-citation></ref>
<ref id="b19-or-30-02-0763"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yang</surname><given-names>J</given-names></name><name><surname>Yu</surname><given-names>H</given-names></name><name><surname>Sun</surname><given-names>S</given-names></name><etal/></person-group><article-title>Mechanism of free Zn<sup>2&#x0002B;</sup> enhancing inhibitory effects of EGCG on the growth of PC-3 cells: interactions with mitochondria</article-title><source>Biol Trace Elem Res</source><volume>131</volume><fpage>298</fpage><lpage>310</lpage><year>2009</year></element-citation></ref>
<ref id="b20-or-30-02-0763"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Dey</surname><given-names>R</given-names></name><name><surname>Moraes</surname><given-names>CT</given-names></name></person-group><article-title>Lack of oxidative phosphorylation and low mitochondrial membrane potential decrease susceptibility to apoptosis and do not modulate the protective effect of Bcl-x(L) in osteosarcoma cells</article-title><source>J Biol Chem</source><volume>275</volume><fpage>7087</fpage><lpage>7094</lpage><year>2000</year></element-citation></ref>
<ref id="b21-or-30-02-0763"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Narita</surname><given-names>M</given-names></name><name><surname>Shimizu</surname><given-names>S</given-names></name><name><surname>Ito</surname><given-names>T</given-names></name><name><surname>Chittenden</surname><given-names>T</given-names></name><name><surname>Lutz</surname><given-names>RJ</given-names></name></person-group><article-title>Bax interacts with the permeability transition pore to induce permeability transition and cytochrome c release in isolated mitochondria</article-title><source>Proc Natl Acad Sci USA</source><volume>95</volume><fpage>14681</fpage><lpage>14686</lpage><year>1998</year></element-citation></ref>
<ref id="b22-or-30-02-0763"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lemire</surname><given-names>J</given-names></name><name><surname>Mailloux</surname><given-names>R</given-names></name><name><surname>Appanna</surname><given-names>VD</given-names></name></person-group><article-title>Zinc toxicity alters mitochondrial metabolism and leads to decreased ATP production in hepatocytes</article-title><source>J Appl Toxicol</source><volume>28</volume><fpage>175</fpage><lpage>182</lpage><year>2008</year></element-citation></ref>
<ref id="b23-or-30-02-0763"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rebbeck</surname><given-names>TR</given-names></name></person-group><article-title>Genetics, disparities, and prostate cancer</article-title><source>LDI Issue Brief</source><volume>10</volume><fpage>1</fpage><lpage>4</lpage><year>2005</year></element-citation></ref>
<ref id="b24-or-30-02-0763"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Carter</surname><given-names>HB</given-names></name><name><surname>Pearson</surname><given-names>JD</given-names></name><name><surname>Metter</surname><given-names>EJ</given-names></name><etal/></person-group><article-title>Longitudinal evaluation of prostate-specific antigen levels in men with and without prostate disease</article-title><source>JAMA</source><volume>267</volume><fpage>2215</fpage><lpage>2220</lpage><year>1992</year></element-citation></ref>
<ref id="b25-or-30-02-0763"><label>25</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Barza</surname><given-names>M</given-names></name><name><surname>Cuchural</surname><given-names>G</given-names></name></person-group><article-title>The penetration of antibiotics into the prostate in chronic bacterial prostatitis</article-title><source>Eur J Clin Microbiol</source><volume>3</volume><fpage>503</fpage><lpage>505</lpage><year>1984</year></element-citation></ref>
<ref id="b26-or-30-02-0763"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname><given-names>X</given-names></name><name><surname>Yu</surname><given-names>H</given-names></name><name><surname>Shen</surname><given-names>S</given-names></name><name><surname>Yin</surname><given-names>J</given-names></name></person-group><article-title>Role of Zn<sup>2&#x0002B;</sup> in epigallocatechin gallate affecting the growth of PC-3 cells</article-title><source>J Trace Elem Med Biol</source><volume>21</volume><fpage>125</fpage><lpage>131</lpage><year>2007</year></element-citation></ref>
<ref id="b27-or-30-02-0763"><label>27</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>LC</given-names></name><name><surname>Yu</surname><given-names>HN</given-names></name><name><surname>Sun</surname><given-names>SL</given-names></name><etal/></person-group><article-title>Investigations of the cytotoxicity of epigallocatechin-3-gallate against PC-3 cells in the presence of Cd<sup>2&#x0002B;</sup> in vitro</article-title><source>Toxicol In Vitro</source><volume>22</volume><fpage>953</fpage><lpage>960</lpage><year>2008</year></element-citation></ref>
<ref id="b28-or-30-02-0763"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kuroda</surname><given-names>Y</given-names></name><name><surname>Hara</surname><given-names>Y</given-names></name></person-group><article-title>Antimutagenic and anticarcinogenic activity of tea polyphenols</article-title><source>Mutat Res</source><volume>436</volume><fpage>69</fpage><lpage>97</lpage><year>1999</year></element-citation></ref>
<ref id="b29-or-30-02-0763"><label>29</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ara&#x000FA;jo</surname><given-names>JR</given-names></name><name><surname>Gon&#x000E7;alves</surname><given-names>P</given-names></name><name><surname>Martel</surname><given-names>F</given-names></name></person-group><article-title>Chemopreventive effect of dietary polyphenols in colorectal cancer cell lines</article-title><source>Nutr Res</source><volume>31</volume><fpage>77</fpage><lpage>87</lpage><year>2011</year></element-citation></ref>
<ref id="b30-or-30-02-0763"><label>30</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lepley</surname><given-names>DM</given-names></name><name><surname>Li</surname><given-names>B</given-names></name><name><surname>Birt</surname><given-names>DF</given-names></name><name><surname>Pelling</surname><given-names>JC</given-names></name></person-group><article-title>The chemopreventive flavonoid apigenin induces G2/M arrest in keratinocytes</article-title><source>Carcinogenesis</source><volume>17</volume><fpage>2367</fpage><lpage>2375</lpage><year>1996</year></element-citation></ref>
<ref id="b31-or-30-02-0763"><label>31</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hall</surname><given-names>PA</given-names></name><name><surname>Coates</surname><given-names>PJ</given-names></name><name><surname>Ansari</surname><given-names>B</given-names></name><name><surname>Hopwood</surname><given-names>D</given-names></name></person-group><article-title>Regulation of cell number in the mammalian gastrointestinal tract: the importance of apoptosis</article-title><source>J Cell Sci</source><volume>107</volume><fpage>3569</fpage><lpage>3577</lpage><year>1994</year></element-citation></ref>
<ref id="b32-or-30-02-0763"><label>32</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wiseman</surname><given-names>S</given-names></name><name><surname>Mulder</surname><given-names>T</given-names></name><name><surname>Rietveld</surname><given-names>A</given-names></name></person-group><article-title>Tea flavonoids: bioavailability in vivo and effects on cell signaling pathways in vitro</article-title><source>Antioxid Redox Signal</source><volume>3</volume><fpage>1009</fpage><lpage>1021</lpage><year>2001</year></element-citation></ref>
<ref id="b33-or-30-02-0763"><label>33</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Weisburger</surname><given-names>JH</given-names></name><name><surname>Rivenson</surname><given-names>A</given-names></name><name><surname>Garr</surname><given-names>K</given-names></name><name><surname>Aliaga</surname><given-names>C</given-names></name></person-group><article-title>Tea, or tea and milk, inhibit mammary gland and colon carcinogenesis in rats</article-title><source>Cancer Lett</source><volume>114</volume><fpage>323</fpage><lpage>327</lpage><year>1997</year></element-citation></ref>
<ref id="b34-or-30-02-0763"><label>34</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liang</surname><given-names>YC</given-names></name><name><surname>Chen</surname><given-names>YC</given-names></name><name><surname>Lin</surname><given-names>YL</given-names></name><etal/></person-group><article-title>Suppression of extracellular signals and cell proliferation by the black tea polyphenol, theaflavin-3,3&#x02032;-digallate</article-title><source>Carcinogenesis</source><volume>20</volume><fpage>733</fpage><lpage>736</lpage><year>1999</year></element-citation></ref>
<ref id="b35-or-30-02-0763"><label>35</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Stoner</surname><given-names>GD</given-names></name><name><surname>Mukhtar</surname><given-names>H</given-names></name></person-group><article-title>Polyphenols as cancer chemopreventive agents</article-title><source>J Cell Biochem</source><volume>22</volume><fpage>169</fpage><lpage>180</lpage><year>1995</year></element-citation></ref>
<ref id="b36-or-30-02-0763"><label>36</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yang</surname><given-names>GY</given-names></name><name><surname>Liu</surname><given-names>Z</given-names></name><name><surname>Seril</surname><given-names>DN</given-names></name><etal/></person-group><article-title>Black tea constituents, theaflavins, inhibit 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK)-induced lung tumorigenesis in A/J mice</article-title><source>Carcinogenesis</source><volume>18</volume><fpage>2361</fpage><lpage>2365</lpage><year>1997</year></element-citation></ref>
<ref id="b37-or-30-02-0763"><label>37</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Weisburger</surname><given-names>JH</given-names></name><name><surname>Rivenson</surname><given-names>A</given-names></name><name><surname>Reinhardt</surname><given-names>J</given-names></name><etal/></person-group><article-title>Effect of black tea on azoxymethane-induced colon cancer</article-title><source>Carcinogenesis</source><volume>19</volume><fpage>229</fpage><lpage>232</lpage><year>1998</year></element-citation></ref>
<ref id="b38-or-30-02-0763"><label>38</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Javed</surname><given-names>S</given-names></name><name><surname>Mehrotra</surname><given-names>NK</given-names></name><name><surname>Shukla</surname><given-names>Y</given-names></name></person-group><article-title>Chemopreventive effects of black tea polyphenols in mouse skin model of carcinogenesis</article-title><source>Biomed Environ Sci</source><volume>11</volume><fpage>307</fpage><lpage>313</lpage><year>1998</year></element-citation></ref>
<ref id="b39-or-30-02-0763"><label>39</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lu</surname><given-names>YP</given-names></name><name><surname>Lou</surname><given-names>YR</given-names></name><name><surname>Xie</surname><given-names>JG</given-names></name><etal/></person-group><article-title>Inhibitory effect of black tea on the growth of established skin tumors in mice: effects on tumor size, apoptosis, mitosis and bromodeoxyuridine incorporation into DNA</article-title><source>Carcinogenesis</source><volume>18</volume><fpage>2163</fpage><lpage>2169</lpage><year>1997</year></element-citation></ref>
<ref id="b40-or-30-02-0763"><label>40</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yang</surname><given-names>GY</given-names></name><name><surname>Liao</surname><given-names>J</given-names></name><name><surname>Li</surname><given-names>C</given-names></name><etal/></person-group><article-title>Effect of black and green tea polyphenols on c-jun phosphorylation and H<sub>2</sub>O<sub>2</sub> production in transformed and non-transformed human bronchial cell lines: possible mechanisms of cell growth inhibition and apoptosis induction</article-title><source>Carcinogenesis</source><volume>21</volume><fpage>2035</fpage><lpage>2039</lpage><year>2000</year></element-citation></ref>
<ref id="b41-or-30-02-0763"><label>41</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lu</surname><given-names>J</given-names></name><name><surname>Ho</surname><given-names>CT</given-names></name><name><surname>Ghai</surname><given-names>G</given-names></name><name><surname>Chen</surname><given-names>KY</given-names></name></person-group><article-title>Differential effects of theaflavin monogallates on cell growth, apoptosis, and Cox-2 gene expression in cancerous versus normal cells</article-title><source>Cancer Res</source><volume>60</volume><fpage>6465</fpage><lpage>6471</lpage><year>2000</year></element-citation></ref>
<ref id="b42-or-30-02-0763"><label>42</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kundu</surname><given-names>T</given-names></name><name><surname>Dey</surname><given-names>S</given-names></name><name><surname>Roy</surname><given-names>M</given-names></name><name><surname>Siddiqi</surname><given-names>M</given-names></name><name><surname>Bhattacharya</surname><given-names>RK</given-names></name></person-group><article-title>Induction of apoptosis in human leukemia cells by black tea and its polyphenol theaflavin</article-title><source>Cancer Lett</source><volume>230</volume><fpage>111</fpage><lpage>121</lpage><year>2005</year></element-citation></ref>
<ref id="b43-or-30-02-0763"><label>43</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Prasad</surname><given-names>S</given-names></name><name><surname>Kaur</surname><given-names>J</given-names></name><name><surname>Roy</surname><given-names>P</given-names></name><name><surname>Kalra</surname><given-names>N</given-names></name><name><surname>Shukla</surname><given-names>Y</given-names></name></person-group><article-title>Theaflavins induce G2/M arrest by modulating expression of p21waf1/cip1, cdc25C and cyclin B in human prostate carcinoma PC-3 cells</article-title><source>Life Sci</source><volume>81</volume><fpage>1323</fpage><lpage>1331</lpage><year>2007</year></element-citation></ref>
<ref id="b44-or-30-02-0763"><label>44</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rietveld</surname><given-names>A</given-names></name><name><surname>Wiseman</surname><given-names>S</given-names></name></person-group><article-title>Antioxidant effects of tea: evidence from human clinical trials</article-title><source>J Nutr</source><volume>133</volume><fpage>S3285</fpage><lpage>S3292</lpage><year>2003</year></element-citation></ref>
<ref id="b45-or-30-02-0763"><label>45</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Henning</surname><given-names>SM</given-names></name><name><surname>Aronson</surname><given-names>W</given-names></name><name><surname>Niu</surname><given-names>Y</given-names></name><etal/></person-group><article-title>Tea polyphenols and theaflavins are present in prostate tissue of humans and mice after green and black tea consumption</article-title><source>J Nutr</source><volume>136</volume><fpage>1839</fpage><lpage>1843</lpage><year>2003</year></element-citation></ref>
<ref id="b46-or-30-02-0763"><label>46</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wu</surname><given-names>YY</given-names></name><name><surname>Li</surname><given-names>W</given-names></name><name><surname>Xu</surname><given-names>Y</given-names></name><name><surname>Jin</surname><given-names>EH</given-names></name><name><surname>Tu</surname><given-names>YY</given-names></name></person-group><article-title>Evaluation of the antioxidant effects of four main theaflavin derivatives through chemiluminescence and DNA damage analyses</article-title><source>J Zhejiang Univ Sci B</source><volume>12</volume><fpage>744</fpage><lpage>751</lpage><year>2011</year></element-citation></ref>
<ref id="b47-or-30-02-0763"><label>47</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Babich</surname><given-names>H</given-names></name><name><surname>Gottesman</surname><given-names>RT</given-names></name><name><surname>Liebling</surname><given-names>EJ</given-names></name><name><surname>Schuck</surname><given-names>AG</given-names></name></person-group><article-title>Theaflavin-3-gallate and theaflavin-3&#x02032;-gallate, polyphenols in black tea with prooxidant properties</article-title><source>Basic Clin Pharmacol Toxicol</source><volume>103</volume><fpage>66</fpage><lpage>74</lpage><year>2008</year></element-citation></ref>
<ref id="b48-or-30-02-0763"><label>48</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jhoo</surname><given-names>JW</given-names></name><name><surname>Lo</surname><given-names>CY</given-names></name><name><surname>Li</surname><given-names>S</given-names></name><etal/></person-group><article-title>Stability of black tea polyphenol, theaflavin, and identification of theanaphthoquinone as its major radical reaction product</article-title><source>J Agric Food Chem</source><volume>53</volume><fpage>6146</fpage><lpage>6150</lpage><year>2005</year></element-citation></ref>
<ref id="b49-or-30-02-0763"><label>49</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Babich</surname><given-names>H</given-names></name><name><surname>Pinsky</surname><given-names>SM</given-names></name><name><surname>Muskin</surname><given-names>ET</given-names></name><name><surname>Zuckerbraun</surname><given-names>HL</given-names></name></person-group><article-title>In vitro cytotoxicity of a theaflavin mixture from black tea to malignant, immortalized, and normal cells from the human oral cavity</article-title><source>Toxicol In Vitro</source><volume>20</volume><fpage>677</fpage><lpage>688</lpage><year>2005</year></element-citation></ref>
<ref id="b50-or-30-02-0763"><label>50</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sakagami</surname><given-names>T</given-names></name><name><surname>Satoh</surname><given-names>K</given-names></name><name><surname>Ishihara</surname><given-names>M</given-names></name><etal/></person-group><article-title>Effect of cobalt ion on radical intensity and cytotoxic activity of antioxidants</article-title><source>Anticancer Res</source><volume>20</volume><fpage>3143</fpage><lpage>3150</lpage><year>2000</year></element-citation></ref>
<ref id="b51-or-30-02-0763"><label>51</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Weisburg</surname><given-names>JH</given-names></name><name><surname>Weissman</surname><given-names>DB</given-names></name><name><surname>Sedaghat</surname><given-names>T</given-names></name><name><surname>Babich</surname><given-names>H</given-names></name></person-group><article-title>In vitro cytotoxicity of epigallocatechin gallate and tea extracts to cancerous and normal cells from the human oral cavity</article-title><source>Basic Clin Pharmacol Toxicol</source><volume>95</volume><fpage>191</fpage><lpage>200</lpage><year>2004</year></element-citation></ref>
<ref id="b52-or-30-02-0763"><label>52</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zamzami</surname><given-names>N</given-names></name><name><surname>Marchetti</surname><given-names>P</given-names></name><name><surname>Castedo</surname><given-names>M</given-names></name><etal/></person-group><article-title>Sequential reduction of mitochondrial transmembrane potential and generation of reactive oxygen species in early programmed cell death</article-title><source>J Exp Med</source><volume>182</volume><fpage>367</fpage><lpage>377</lpage><year>1995</year></element-citation></ref>
<ref id="b53-or-30-02-0763"><label>53</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zamzami</surname><given-names>N</given-names></name><name><surname>Marchetti</surname><given-names>P</given-names></name><name><surname>Castedo</surname><given-names>M</given-names></name><etal/></person-group><article-title>Reduction in mitochondrial potential constitutes an early irreversible step of programmed lymphocyte death in vivo</article-title><source>J Exp Med</source><volume>181</volume><fpage>1661</fpage><lpage>1672</lpage><year>1995</year></element-citation></ref>
<ref id="b54-or-30-02-0763"><label>54</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Carew</surname><given-names>JS</given-names></name><name><surname>Huang</surname><given-names>P</given-names></name></person-group><article-title>Mitochondrial defects in cancer</article-title><source>Mol Cancer</source><volume>1</volume><fpage>9</fpage><year>2002</year></element-citation></ref>
<ref id="b55-or-30-02-0763"><label>55</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>X</given-names></name></person-group><article-title>The expanding role of mitochondria in apoptosis</article-title><source>Genes Dev</source><volume>15</volume><fpage>2922</fpage><lpage>2933</lpage><year>2001</year></element-citation></ref>
<ref id="b56-or-30-02-0763"><label>56</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Budihardjo</surname><given-names>I</given-names></name><name><surname>Oliver</surname><given-names>H</given-names></name><name><surname>Lutter</surname><given-names>M</given-names></name><name><surname>Luo</surname><given-names>X</given-names></name><name><surname>Wang</surname><given-names>X</given-names></name></person-group><article-title>Biochemical pathways of caspase activation during apoptosis</article-title><source>Annu Rev Cell Dev Biol</source><volume>15</volume><fpage>269</fpage><lpage>290</lpage><year>1999</year></element-citation></ref>
<ref id="b57-or-30-02-0763"><label>57</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Thornberry</surname><given-names>NA</given-names></name><name><surname>Lazebnik</surname><given-names>Y</given-names></name></person-group><article-title>Caspases: enemies within</article-title><source>Science</source><volume>281</volume><fpage>1312</fpage><lpage>1316</lpage><year>1998</year></element-citation></ref>
<ref id="b58-or-30-02-0763"><label>58</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Armstrong</surname><given-names>JS</given-names></name></person-group><article-title>The role of the mitochondrial permeability transition in cell death</article-title><source>Mitochondrion</source><volume>6</volume><fpage>225</fpage><lpage>234</lpage><year>2006</year></element-citation></ref>
<ref id="b59-or-30-02-0763"><label>59</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tsujimoto</surname><given-names>Y</given-names></name><name><surname>Nakagawa</surname><given-names>T</given-names></name><name><surname>Shimizu</surname><given-names>S</given-names></name></person-group><article-title>Mitochondrial membrane permeability transition and cell death</article-title><source>Biochim Biophys Acta</source><volume>1757</volume><fpage>1297</fpage><lpage>1300</lpage><year>2006</year></element-citation></ref>
<ref id="b60-or-30-02-0763"><label>60</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jung</surname><given-names>JY</given-names></name><name><surname>Mo</surname><given-names>HC</given-names></name><name><surname>Yang</surname><given-names>KH</given-names></name><etal/></person-group><article-title>Inhibition by epigallocatechin gallate of CoCl2-induced apoptosis in rat PC1<sub>2</sub> cells</article-title><source>Life Sci</source><volume>80</volume><fpage>1355</fpage><lpage>1363</lpage><year>2007</year></element-citation></ref>
<ref id="b61-or-30-02-0763"><label>61</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Behera</surname><given-names>MA</given-names></name><name><surname>Dai</surname><given-names>QS</given-names></name><name><surname>Garde</surname><given-names>R</given-names></name><etal/></person-group><article-title>Progesterone stimulates mitochondrial activity with subsequent inhibition of apoptosis in MCF-10A benign breast epithelial cells</article-title><source>AM J Physiol Endocrinol Metab</source><volume>297</volume><fpage>E1089</fpage><lpage>E1096</lpage><year>2009</year></element-citation></ref>
<ref id="b62-or-30-02-0763"><label>62</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kalra</surname><given-names>N</given-names></name><name><surname>Seth</surname><given-names>K</given-names></name><name><surname>Prasad</surname><given-names>S</given-names></name><etal/></person-group><article-title>Theaflavins induced apoptosis of LNCaP cells is mediated through induction of p53, down-regulation of NF-kappa B and mitogen-activated protein kinases pathways</article-title><source>Life Sci</source><volume>80</volume><fpage>2137</fpage><lpage>2146</lpage><year>2007</year></element-citation></ref>
<ref id="b63-or-30-02-0763"><label>63</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lee</surname><given-names>HH</given-names></name><name><surname>Ho</surname><given-names>CT</given-names></name><name><surname>Lin</surname><given-names>JK</given-names></name></person-group><article-title>Theaflavin-3,3&#x02032;-digallate and penta-O-galloyl-beta-D-glucose inhibit rat liver microsomal 5alpha-reductase activity and the expression of androgen receptor in LNCaP prostate cancer cells</article-title><source>Carcinogenesis</source><volume>25</volume><fpage>1109</fpage><lpage>1118</lpage><year>2004</year></element-citation></ref>
<ref id="b64-or-30-02-0763"><label>64</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tachibana</surname><given-names>H</given-names></name><name><surname>Koga</surname><given-names>K</given-names></name><name><surname>Fujimura</surname><given-names>Y</given-names></name><name><surname>Yamada</surname><given-names>K</given-names></name></person-group><article-title>A receptor for green tea polyphenol EGCG</article-title><source>Nat Struct Mol Biol</source><volume>11</volume><fpage>380</fpage><lpage>381</lpage><year>2004</year></element-citation></ref>
<ref id="b65-or-30-02-0763"><label>65</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Umeda</surname><given-names>D</given-names></name><name><surname>Tachibana</surname><given-names>H</given-names></name><name><surname>Yamada</surname><given-names>K</given-names></name></person-group><article-title>Epigallocatechin-3-O-gallate disrupts stress fibers and the contractile ring by reducing myosin regulatory light chain phosphorylation mediated through the target molecule 67 kDa laminin receptor</article-title><source>Biochem Biophys Res Commun</source><volume>333</volume><fpage>628</fpage><lpage>635</lpage><year>2005</year></element-citation></ref>
<ref id="b66-or-30-02-0763"><label>66</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Fujimura</surname><given-names>Y</given-names></name><name><surname>Umeda</surname><given-names>D</given-names></name><name><surname>Kiyohara</surname><given-names>Y</given-names></name><name><surname>Sunada</surname><given-names>Y</given-names></name></person-group><article-title>The involvement of the 67 kDa laminin receptor-mediated modulation of cytoskeleton in the degranulation inhibition induced by epigallocatechin-3-O-gallate</article-title><source>Biochem Biophys Res Commun</source><volume>348</volume><fpage>524</fpage><lpage>531</lpage><year>2006</year></element-citation></ref></ref-list></back>
<floats-group>
<fig id="f1-or-30-02-0763" position="float">
<label>Figure 1</label>
<caption>
<p>Chemical structures of theaflavins. TF1&#x0003D;Theaflavin R<sub>1</sub>&#x0003D;R<sub>2</sub>&#x0003D;H; TF2A&#x0003D;Theaflavin-3-gallate R<sub>1</sub>&#x0003D;galloyl R<sub>2</sub>&#x0003D;H; TF2B&#x0003D;Theaflavin-3&#x02032;-gallate R<sub>1</sub>&#x0003D;H R<sub>2</sub>&#x0003D;galloyl; TF3&#x0003D;Theaflavin-3,3&#x02032;-digallate R<sub>1</sub>&#x0003D;R<sub>2</sub>&#x0003D;galloyl.</p></caption>
<graphic xlink:href="OR-30-02-0763-g00.gif"/></fig>
<fig id="f2-or-30-02-0763" position="float">
<label>Figure 2</label>
<caption>
<p>Effects of TFs, YBT and ABT on viability of PC-3 cells. The cells were exposed to TFs, YBT and ABT of different concentrations (0, 0.4, 0.8, 1.2, 1.6, 2.0 mg/ml) for (a) 12 h, (b) 24 h and (c) 36 h, respectively, and the cell viability was measured by the MTT assay as showed in Materials and methods. The values represent the percent of viable cells, where untreated cells were regarded as 100&#x00025; viable. Data are means &#x000B1; SD, n&#x0003D;7. (d) Proliferation was estimated using the EdU incorporation assay. Scale bars, 50 &#x003BC;m. The cells were exposed to TFs, YBT and ABT (0.4 mg/ml) for 24 h. The proliferation was significantly inhibited.</p></caption>
<graphic xlink:href="OR-30-02-0763-g01.gif"/></fig>
<fig id="f3-or-30-02-0763" position="float">
<label>Figure 3</label>
<caption>
<p>Microscopic images of PC-3 cells treated with TFs, YBT or ABT. PC-3 cells were exposed to (a) control, (b) 0.4 mg/ml TFs, (c) 0.4 mg/ml YBT, and (d) 0.4 mg/ml ABT for 24 h.</p></caption>
<graphic xlink:href="OR-30-02-0763-g02.gif"/></fig>
<fig id="f4-or-30-02-0763" position="float">
<label>Figure 4</label>
<caption>
<p>Apoptosis. PC-3 cells were exposed to (a) control, (b) 0.4 mg/ml TFs, (c) 0.4 mg/ml YBT, and (d) 0.4 mg/ml ABT for 24 h, and analyzed by flow cytometry. TFs, YBT or ABT treatment induced PC-3 cell apoptosis when compared with that of control group.</p></caption>
<graphic xlink:href="OR-30-02-0763-g03.gif"/></fig>
<fig id="f5-or-30-02-0763" position="float">
<label>Figure 5</label>
<caption>
<p>Effects of TFs, YBT and ABT on the mitochondrial membrane potential. PC-3 cells were treated with 0.4 mg/ml TFs, 0.4 mg/ml YBT and 0.4 mg/ml ABT for 24 h. The mitochondrial membrane potential was monitored using JC-1 staining. TFs, YBT or ABT treatment decreased mitochondrial membrane potential.</p></caption>
<graphic xlink:href="OR-30-02-0763-g04.gif"/></fig>
<fig id="f6-or-30-02-0763" position="float">
<label>Figure 6</label>
<caption>
<p>Concentration of cytochrome <italic>c</italic> in mitochondria of PC-3 cells. PC-3 cells were treated with 0.4 mg/ml TFs, 0.4 mg/ml YBT and 0.4 mg/ml ABT for 24 h and then the mitochondria was isolated. Concentration of cytochrome <italic>c</italic> in PC-3 cells was measured by western blotting. Data are means &#x000B1; SD, n&#x0003D;3 (<sup>&#x0002A;</sup>p&lt;0.05; <sup>&#x0002A;&#x0002A;</sup>p&lt;0.01).</p></caption>
<graphic xlink:href="OR-30-02-0763-g05.gif"/></fig>
<fig id="f7-or-30-02-0763" position="float">
<label>Figure 7</label>
<caption>
<p>ATP contents of PC-3 cells. PC-3 cells were treated with 0.4 mg/ml TFs, 0.4 mg/ml YBT and 0.4 mg/ml ABT for 24 h, and then the mitochondria was isolated. ATP contents of PC-3 cells were measured by HPLC. Data are means &#x000B1; SD, n&#x0003D;3 (<sup>&#x0002A;&#x0002A;</sup>p&lt;0.01).</p></caption>
<graphic xlink:href="OR-30-02-0763-g06.gif"/></fig>
<fig id="f8-or-30-02-0763" position="float">
<label>Figure 8</label>
<caption>
<p>Caspase-3 activities of PC-3 cells treated with TFs, YBT or ABT for 12, 24 and 36 h. The cells were harvested and carried out according to caspase-3 activity assay kit instructions. The absorbance was measured in each well at 405 nm using the ELISA reader as showed in Materials and methods. Data are means &#x000B1; SD, n&#x0003D;3.</p></caption>
<graphic xlink:href="OR-30-02-0763-g07.gif"/></fig>
<table-wrap id="tI-or-30-02-0763" position="float">
<label>Table I</label>
<caption>
<p>Catechin and theaflavin monomers contents of TFs, YBT and ABT as analyzed by HPLC (mg/g).</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">Sample</th>
<th align="center" valign="bottom">C</th>
<th align="center" valign="bottom">EC</th>
<th align="center" valign="bottom">GC</th>
<th align="center" valign="bottom">EGC</th>
<th align="center" valign="bottom">CG</th>
<th align="center" valign="bottom">ECG</th>
<th align="center" valign="bottom">GCG</th>
<th align="center" valign="bottom">EGCG</th>
<th align="center" valign="bottom">TF1</th>
<th align="center" valign="bottom">TF2A/TF2B</th>
<th align="center" valign="bottom">TF3</th></tr></thead>
<tbody>
<tr>
<td align="left" valign="top">TFs</td>
<td align="center" valign="top">15.66&#x000B1;2.65<sup>b</sup></td>
<td align="center" valign="top">32.01&#x000B1;9.20<sup>b</sup></td>
<td align="center" valign="top">140.35&#x000B1;20.19<sup>a</sup></td>
<td align="left" valign="top">30.23&#x000B1;7.26<sup>a</sup></td>
<td align="center" valign="top">1.97&#x000B1;0.04<sup>a</sup></td>
<td align="center" valign="top">22.33&#x000B1;2.03<sup>a</sup></td>
<td align="center" valign="top">5.58&#x000B1;0.26<sup>b</sup></td>
<td align="right" valign="top">9.68&#x000B1;0.07<sup>b</sup></td>
<td align="center" valign="top">199.08&#x000B1;44.96<sup>b</sup></td>
<td align="center" valign="top">118.89&#x000B1;39.54<sup>c</sup></td>
<td align="center" valign="top">193.34&#x000B1;53.61<sup>c</sup></td></tr>
<tr>
<td align="left" valign="top">YBT</td>
<td align="center" valign="top">5.46&#x000B1;0.32<sup>a</sup></td>
<td align="center" valign="top">7.61&#x000B1;1.04<sup>a</sup></td>
<td align="center" valign="top">151.29&#x000B1;23.78<sup>a</sup></td>
<td align="left" valign="top">32.37&#x000B1;7.39<sup>a</sup></td>
<td align="center" valign="top">2.30&#x000B1;0.06<sup>a</sup></td>
<td align="center" valign="top">20.07&#x000B1;1.88<sup>a</sup></td>
<td align="center" valign="top">2.74&#x000B1;0.13<sup>a</sup></td>
<td align="right" valign="top">7.32&#x000B1;0.04<sup>a</sup></td>
<td align="center" valign="top">4.31&#x000B1;0.13<sup>a</sup></td>
<td align="center" valign="top">1.41&#x000B1;0.02<sup>a</sup></td>
<td align="center" valign="top">3.23&#x000B1;0.02<sup>a</sup></td></tr>
<tr>
<td align="left" valign="top">ABT</td>
<td align="center" valign="top">17.36&#x000B1;2.97<sup>b</sup></td>
<td align="center" valign="top">43.15&#x000B1;12.31<sup>b</sup></td>
<td align="center" valign="top">192.52&#x000B1;31.16<sup>b</sup></td>
<td align="left" valign="top">88.46&#x000B1;13.11<sup>b</sup></td>
<td align="center" valign="top">3.91&#x000B1;0.10<sup>b</sup></td>
<td align="center" valign="top">22.64&#x000B1;2.15<sup>a</sup></td>
<td align="center" valign="top">6.22&#x000B1;0.39<sup>b</sup></td>
<td align="right" valign="top">19.92&#x000B1;0.15<sup>c</sup></td>
<td align="center" valign="top">5.80&#x000B1;0.28<sup>a</sup></td>
<td align="center" valign="top">6.40&#x000B1;0.17<sup>b</sup></td>
<td align="center" valign="top">8.20&#x000B1;0.08<sup>b</sup></td></tr></tbody></table>
<table-wrap-foot><fn id="tfn1-or-30-02-0763">
<p>The value of catechin and theaflavin monomer contents are the means &#x000B1; SD (n&#x0003D;3).</p></fn><fn id="tfn2-or-30-02-0763">
<label>a&#x02013;c</label>
<p>Means followed by the same letter are not significantly different at p&lt;0.05.</p></fn></table-wrap-foot></table-wrap></floats-group></article>
